GUILLERMO MORA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129198

License Status

NOT RENEWED

Business

Title

First Name

GUILLERMO

Last Name

MORA

Business Name

GUILLERMO MORA MD

Original Issue Date

11/07/2011

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021